Fecal microbiota, live
Jeneng merek: Rebyota
Kelas obat:
Agen Antineoplastik
Panganggone Fecal microbiota, live
Mikrobiota fecal, live-jslm nduweni kegunaan ing ngisor iki:
Mikrobiota fecal, live-jslm dituduhake kanggo nyegah kambuh infeksi Clostridioides difficile (CDI) ing wong sing umure 18 taun lan luwih lawas. perawatan antibiotik kanggo CDI ambalan. Mikrobiota fecal, live-jslm ora dituduhake kanggo perawatan CDI.
Infectious Diseases Society of America (IDSA) lan Society for Healthcare Epidemiology of America (SHEA) wis nerbitake pedoman babagan manajemen CDI. Pedoman kasebut nyatakake yen transplantasi mikrobiota fecal (FMT) disaranake mung kanggo pasien sing ngalami CDI kaping pirang-pirang sing wis gagal perawatan antibiotik sing cocok lan nalika screening sing cocog kanggo spesimen feses donor lan donor wis ditindakake.
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Carane nggunakake Fecal microbiota, live
Umum
Mikrobiota fecal, live-jslm kasedhiya ing wangun dosis lan kekuatan:
Suspensi: 150 mL suspensi mikrobiota fecal sing ngemot antarane 1×108 lan 5×1010 unit pembentuk koloni (CFU) saben mL mikroba fecal kalebu >1×105 CFU/mL Bacteroides.
Dosis
Iku penting supaya labeling pabrikan dikonsultasi kanggo informasi sing luwih rinci babagan dosis lan administrasi obat iki. Ringkesan dosis:
Dewasa
Dosis lan Administrasi ing Wong Dewasa ≥18 TaunPènget
Kontraindikasi
Pènget/PanandhapAgen Infèksi sing Bisa Ditular
Amarga mikrobiota fecal, live-jslm digawe saka kotoran manungsa, bisa uga ana risiko nularake agen infèksius. Infeksi apa wae sing dicurigai dening dokter sing bisa ditularake dening produk iki kudu dilaporake dening dokter utawa panyedhiya kesehatan liyane menyang pabrikan.
Manajemen Reaksi Alergi Akut
Pengobatan medis sing cocog kudu langsung kasedhiya yen ana reaksi anafilaksis akut sawise administrasi mikrobiota fecal, live-jslm.
Potensi Anane Alergen Pangan
Mikrobiota fecal, live-jslm digawe saka feses manungsa lan bisa uga ngemot alergen panganan. Potensi mikrobiota fecal, live-jslm bisa nyebabake reaksi ala amarga alergen panganan ora dingerteni.
Populasi Tertentu
KandhutanMikrobiota fecal, live-jslm ora diserap sacara sistemik sawise administrasi dubur, lan panggunaan ibu ora bakal nyebabake paparan janin marang obat kasebut.
LaktasiMikrobiota fecal, live-jslm ora diserap sacara sistemik dening ibu sawise administrasi dubur, lan nyusoni ora bakal nyebabake paparan mikrobiota fecal, live-jslm ing bocah.
Panggunaan PediatrikKeamanan lan efektifitas saka microbiota fecal, live-jslm ing individu sing luwih enom saka 18 taun durung ditetepake.
Panggunaan GeriatrikSaka 978 wong diwasa sing nampa mikrobiota fecal, live-jslm, 48,8% umure 65 taun lan luwih. (n=477), lan 25,7% umure 75 taun lan luwih (n=251). Data saka studi klinis microbiota fecal, live-jslm ora cukup kanggo nemtokake manawa wong diwasa umur 65 taun lan luwih tuwa nanggapi beda karo wong diwasa sing luwih enom.
Efek Ngaruhi Umum
Reaksi salabetipun (≥3%) sing paling umum dilapurake ing wong diwasa sawise dosis siji mikrobiota fecal, live-jslm yaiku nyeri weteng, (8,9%), diare (7,2%), weteng distensi (3,9%), kembung (3,3%), lan mual (3,3%).
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